DOI: 10.36347/sjmcr.2019.v07i01.019

Pages: 62-65

Chryseobacterium gleum is a gram negative, non-fermentative, catalase and oxidase positive organism emerging as multidrug resistant pathogen in health care setting especially in cases of Blood stream infection, UTI, Pneumonia. Very few cases by Chryseobacterium species have been reported so far. Considering high mortality caused by these pathogens, rapid and accurate identification methods guide therapy for better patient care. In this paper we report a case of Blood stream infection and Pneumonia in a 60-year-old female patient who is a k/c/o CKD/ Type 2 DM/ HTN/ CAD, admitted to Emergency room for high grade fever since 10 days and breathlessness since 3 days. 2 paired blood cultures and ET culture isolated Chryseobacterium gleum showing identical susceptibility patterns of resistance to Cephalosporins, Carbapenems and Colistin and susceptibility to Levofloxacin, Cotrimoxazole and Minocycline. The patient improved clinically on Levofloxacin therapy. Simultaneous isolation of a rare isolate ‘Chryseobacterium gleum’ from Blood Stream and Lower Respiratory Tract is very rare. Due to inherent resistance to Carbapenems and Colistin, there is a need for early laboratory identification for guiding appropriate antibiotic therapy, thereby preventing the risk of health care associated infections.